JIN BAIK CHUNG (NPI# 1790726388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790726388 |
| Entity Type | Individual |
| Full Name | JIN BAIK CHUNG |
| Credential | MD |
| Practice Address |
220 E Main St New Lebanon OH 45345-1299 |
| Practice Telephone | 9376871331 |
| Practice Fax Number | 9376873216 |
| Mailing Telephone | 9376871331 |
| Mailing Fax Number | 9376873216 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.042055 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0364056 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073970778 | Jin Chung | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2016-01-26 |
| 1922320605 | Jin H Chung | Pharmacist | 210 S Broadway, Hicksville, NY 11801-5002 | 2010-02-22 |
| 1952582041 | Jin Young Chung | Pediatrics | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2007-11-17 |
| 1740207315 | Jin Y Chung | Dentist | 10320 Swift Stream Pl, 103, Columbia, MD 21044-4871 | 2006-07-17 |
| Street Address |
220 E MAIN ST |
| City | NEW LEBANON |
| State | OH |
| Zip Code | 45345-1299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972556272 | Samaritan Family Care Inc | Family Medicine | 220 E Main St, New Lebanon, OH 45345-1299 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312846 | Diana Elizabeth Gonzalez | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy 117 Health Sciences Bldg, School of Professional Psychology, Dayton, OH 45345 | 2019-02-11 |
| 1982941993 | Pamela Michael | Physical Therapy Assistant | 101 Mills Place, New Lebanon Care and Rehab Center, New Lebanon, OH 45345 | 2013-01-10 |
| 1760573166 | Karen A Goulden | Dentist | 540 West Main St., New Lebanon, OH 45345 | 2006-09-28 |
| 1992287528 | Justin Alexander Keirns | Specialist/Technologist | 323 Perry St, New Lebanon, OH 45345-1133 | 2018-08-30 |
| 1417164195 | Richard William Poeppelmeier | Dentist | 220 East Main St, New Lebanon, OH 45345-1254 | 2007-05-16 |
| 1922340769 | Mary Logsdon | Licensed Practical Nurse | 337 W Main St, New Lebanon, OH 45345-1423 | 2013-03-19 |
| 1255340733 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 590 West Main Street, New Lebanon, OH 45345-1426 | 2006-08-05 |
| 1699881441 | Harborside of Dayton Limited Partnership | Skilled Nursing Facility | 101 Mills Pl, New Lebanon, OH 45345-1430 | 2006-08-22 |
| 1982263984 | New Lebanon Snf, LLC | Skilled Nursing Facility | 101 Mills Pl, New Lebanon, OH 45345-1430 | 2019-06-12 |
| 1831679737 | 101 Mills Place Operations LLC | Skilled Nursing Facility | 101 Mills Pl, New Lebanon, OH 45345-1430 | 2018-08-20 |
| Find all providers in zip 45345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972556272 | Samaritan Family Care Inc | Family Medicine | 220 E Main St, New Lebanon, OH 45345-1299 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW LEBANON |
| Zip Code | 45345 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.